Fill in all information as completely and correctly as possible
Fields with (*) are obligated
Are you a ABVV member ? (*)
No, I want to affiliate
I work as : (*)
Employee in civil service
Labourer - Transport, bus & car, logistics, airport (handling), taxi, movers, fuel
Labourer - Metal, garage, electricians, airport (cleaning)
Labourer - Catering industry, hotels and restaurants
Labourer - Construction, security, cleaning, dienstencheques, chemicals
National number : (*)
This number can be found on the back of your identity card. Only use numbers, no spaces or punctuation marks.
Please enter your national number.
Last name : (*)
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Name : (*)
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Street : (*)
Please enter your street.
House number : (*)
Please enter your house number.
Postal code : (*)
Please enter your postal code.
Locality : (*)
Please enter your locality.
Account number : (*)
Please enter your account number.
Email address : (*)
Please enter your email address.
Mobile : (*)
Please enter your mobile number.
1st day of temporary unemployment :
Name of employer :
Zip code place of employement :
I work :
Part-time with time credit
Part-time return to work during mutual insurance
Do you have other income (eg self-employed person in a secondary occupation,
additional employer, political mandate, compensation for an accident at work, ...) ?
What income ?
Have you ever had an unemployment record with another union or 'Hulpkas/CAPAC' ?
Where did you have this file ?
I agree to the general terms and conditions (*)
I hereby give mandate to ABVV-FGTB to introduce my application with RVA in my name. I declare that the information I entered is complete and correct. I explicitly agree that if ABVV makes an undue payment based on data that is not truthful, I am obliged to repay it.
Please accept the general terms and conditions.
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